Individual
ROLA KANAWATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPMA
Contact information
Practice address
30669 N US HWY #19, SUITE 409, PALM HARBOR, FL 34684
(727) 846-3719
Mailing address
2223 FOX CHASE BLVD, PALM HARBOR, FL 34683-2330
(727) 846-3719
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
52-44-1497310
FL
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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